February 2019

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Facing feeding tubes

Evidence and guidelines are against feeding tubes for patients with advanced dementia, but practice often differs.

The imperfection of ICU admission decisions

ICU clinicians and experts continue to hunt for methods to make intensive care high quality and high value.

Physicians' obligations under EMTALA

Some examples explain the Emergency Medical Treatment and Labor Act (EMTALA).

Subsegmental pulmonary embolism

An example patient with sickle cell disease provides a lesson in diagnosing subsegmental pulmonary embolism.

Getting patients on board with VTE prophylaxis

A bundle to educate patients about venous thromboembolism (VTE) included a 10-minute video of patients' stories and in-person support from a nurse educator.

A systemwide approach to end-of-life care

One health system developed an advance directive toolkit for patients and communication training for clinicians.

Heart failure documentation and coding challenges

Identifying the systolic versus diastolic nature of heart failure is crucial for clinical management and coding purposes.

Newman's Notions | FREE
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A resident discovers a very special hospital computer.

Difficult decisions

Learn about dilemmas related to feeding tubes in advanced dementia and ICU admission in this month's issue.

New cardiac warning for fluoroquinolones

Details on the latest alerts, recalls, and approvals.

Care transitions, hypertension, and more

Summaries from ACP Hospitalist Weekly.

NSTEMI algorithm, metabolic acidemia, and more

Summaries from ACP Hospitalist Weekly.

MKSAP quiz on intensive care

This month's quiz includes questions from ACP's Medical Knowledge Self-Assessment Program (MKSAP 18) that take place in the ICU.